Veterans Day 2018

By some miracle, I’m still alive to celebrate again this year. Thank you Gilead Sciences. With Hepatitis C, that which doesn’t kill you nevertheless kicks the shit out of you forever. I think the same applies to VA health care but that is the subject of another blog on another day. Today is a celebration of being alive. Many who served are not. Today is a day for the living and to honor their faithful service. Europeans are free to mope around and put wreaths on graves. That isn’t what this is about. It’s a celebration of the end of a period of man fighting man over politics and religion. Those two subjects are the third rail of civility. 

My joy, as it should be, is devoted today to celebrating being alive with all my Veteran friends who are also as lucky. Far too many confuse Memorial Day as part and parcel of this gig. Today, we celebrate the end of a war and, by extension, all Veterans who have served to preserve America and its sovereignty. Some who served in peace feel their service is not as glorious. Hogwash. How many of you signed up on September 1st, 2011 only to shit your pants on the 12th? None, I venture.

Being a Veteran nowadays is becoming more the rare exception rather than the rule. No longer do we have cattle drives to the AFEES station a la draft or due to an attack on us. With the exception of 9/11/2001, things have calmed down somewhat. According to the poohbahs at the VA, there are 20.4 million of us. Given the VA’s inflated self-worth of themselves and their statistical veracity on any subject Veteran, I don’t buy it. Here’s Pew Research’s take on it. I would prefer a Remington Rand Think Tank statistic. They are always willing to spill the beans. Here’s one about AO from the Chinese. They have an excellent field laboratory next door in the DRV. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5126552/pdf/srep38012.pdf

I suppose it’s accurate but the fact remains we are becoming more exclusive than the fabled “Entitled White Misogynist Male” club. In point of fact, the numbers of my fellow Vietnam Veterans-those who actually served on the land mass of the Republic of South Vietnam- continue to decline in astonishing numbers. I personally watch in sorrow as the numbers of those who served there decline. Incredibly, every year I google this question and the number seems stuck at 850,000. Notwithstanding that, I know for a fact 28 of my Brothers-in-arms have departed since 2010. Seems they’d revise the list downward to 849,778 to comprehend the loss. Therein lies the problem. What good are stale statistics? How do you adjust the needs or finances of the VA’s medical system if the number of patients remains static in spite of their known demise? Seems similar to Chicago’s voter rolls last week. I do so wish  Roseanne Roseannadanna were still alive to opine on this phenomenon. She always brought an open mind to the table.

Fortunately for us “real” Vietnam Veterans, there are a new cohort of stolen valor pseudovets willing to step in and restore equilibrium. About the only place you don’t see them is at Veterans Day parades.  Perhaps that’s why the percieved numbers remain static. The 2010 census was a hoot. The DoD insists to this day that our numbers never exceeded 2.7-3.0 million. In spite of that, the 2010 census declared 9-12 million were absolutely sure they set foot on the easterly portion of the Indochinese peninsula fronting the South China Sea. That’s a extremely large number of delusional thinkers disremembering where they served-assuming, arguendo, that they served at all. The most fascinating thing about this is its recentness. Most of my fellow Vets who served in-country (including me) didn’t come out of the closet until after 2001. It wasn’t fashionable yet. It sure wasn’t something we bragged about or regaled our civilian counterparts with tales of when we arrived home.

I lucked out and arrived at SF International in camo fatigues fresh out of the jungle at 0200 on May 17th, 1972 after two tours back to back. I was greeted warmly by the Hare Krishna swing shift. Who would have thought they man the tambourines 24/7? Many of my friends, like Butch Long, Bob Lockett and Chris Dellinges, were deprived and came in on Medivac flights foregoing any warm welcome from their fellow citizens. I certainly don’t feel slighted in the least for missing out on my Flying Spit Medal with two Oak Leaf Clusters. I also don’t hold a grudge towards these folks. Everyone is entitled to an opinion in America. From what I can gather, most have issued their politically correct, obligatory mea culpas and now circulate at Veterans Day parades and utter inane phrases like “Welcome Home, sir!” or “May I shake your hand? I’d like to honor you today personally.” Thank you for your service grates on my ears worse than fingernails on a chalkboard now. Somebody ought to point out that’s passé.

Congressman Derek Kilmer

To my way of thinking, real Veterans don’t need to seek accolades. We don’t need to wear hats proclaiming our affiliation or bravery. We don’t need free dinners at Applebee’s. We’re smug in that inner satisfaction that we kicked ass and took names when other wimps chose to be all they could be in Canada. We bask in the warmth of a fellow Veteran’s handshake and genuine feelings of camaraderie. We don’t need “stand downs” and handouts. We don’t need quotas or special dispensations for our service. From what I can gather, real combat Vets are not “parade” kinds of guys. We mostly shun being dragged on stages for political purposes by eager politicians wanting to be perceived as “Veterancentric”. Fortunately, I have a great Congressman (Derek Kilmer) who is pro-Vet 24/7/365 rather than motivated on a specific day. His crew is always ready to step in if a problem arises in our district. He is an anomaly in this regard and revels in it. Look at all the congressmen who seek out your votes only to evaporate into thin air a week after an election to become rarer than hen’s teeth. I’m blessed in my little pied-a-terre here at the ass end of Washington (state).

Veterans are the 3%er crowd. We know how rare we are. We don’t need to put on our old uniforms and hang out in airports hoping for praise.  We understand the concept of Keeping America Free. We are not inherently racist as we all served in a post-segregation military. We are not weirdo White Supremacist wannabes. We got our yah yahs out in a real military setting-not in psuedo-military organizations that profess hatred.

In a word, we are the perfect, quintessential American. The Citizen Soldier who returns to his plowshare after bearing arms for his Country is one who basks in his mental self-sufficiency and needs no attaboys for his former one-time profession.

Ronald Reagan, a Veteran himself, summed it up best in my mind.

Some people live an entire lifetime and wonder

if they have made a difference in the world.

A Veteran doesn’t have that problem.

Happy Veterans Day to you my Brothers. Live long and prosper.

And that’s all I’m going to say about that.

Posted in KP Veterans, Veterans Day | Tagged , , , , , , , , , , , , , , , , | 8 Comments

Veterans’ Day, Centenary of WWI 1918-2018

U. S Embassy Twitter -Click

Image: Vimy Foundation, Canada Click image to go to their Twitter

BBC article-Click

A melange of resources:

UK Royal British Legion–Poppy Legion Twitter (Link)–They went all out. 

White House Twitter (Link)

Battle of Belleau Wood Wikipedia (1–26 June 1918) (Link)

White House Flickr photos (Link)

VA Twitter (Link)

It’s a big weekend in France and while mainstream journalists are busy putting their tedious political spins on the events, we think about other things.

From U.S. Embassy French Twitter

” …Over 68,000 U.S. service members are buried or memorialized at American cemeteries in France.

Aujourd’hui au Cimetière américain de Suresnes, le président Trump a rendu hommage au sacrifice accompli par nos militaires. Les cimetières américains en France conservent les tombes ou la mémoire de plus de 68 000 militaires américains.

From BBC

“…Armistice Day takes place on 11 November each year and marks the end of the First World War. It is a day of commemoration, an occasion to remember the some 8.5 million soldiers who died across the world during the 1914–18 war – as well as those lost in the conflicts that followed.”

Younger Veterans, welcome home and enjoy your day.

Kiedove

Posted in All about Veterans, Food for the soul, Food for thought, General Messages, Guest authors, Inspirational Veterans, Uncategorized, Veterans Day | Tagged , | 2 Comments

VBMS–EVERYTHING YOU EVER WANTED TO KNOW

VBMSmobile

Those of us who have made the jump into the VA’s computer system known as the Veterans Benefits Management System (VBMS)  have many things to say about it. Paleolithic, Neanderthalic, slower than the seven year itch and more are just a drip in a deluge of negative aspersions. I can walk out to the kitchen and scramble four eggs-and walk back to the office- in the time it takes to be allowed into the entrance to VBMS. 

I write this for all of you-attorneys, agents and Veterans. I want you to get a glimpse into what we can see-and what we cannot. I continue to roam around and discover I can go places my Change Management Agent (CMA) insists I cannot. For instance, I was told I was not allowed to have access to VA’s Oracle System known as VACOLS. That is the black hole our appeals descend into for years and years until we get our BVA decision. By rights, I need to view my Vet’s appeals in real time and not have to call up the 800-923-8387 BVA Dial-A-Prayer. Well, surprise , surprise surprise. We can view VACOLS! I will grant that the booth bitch (yes, that’s a politically incorrect, nongender specific acronym for the folks tasked with answering our calls) often knows far more than the chowderheads they hire to talk to you at the VARO-level (800-827-1000).  Those are new hires and don’t even have a GS 1 rating yet. Even the VA poohbahs have relented and updated recently and now permit their phone bank technicians to look at the VBMS in read-only mode.

A fond reminder of a time long ago was when we could call our VA Puzzle Palaces directly. An 800 call went to the regional office nearest you as it was presumed that’s where your c-file was.  Along about 2009, some efficiency expert decided to use the India call center model and all of a sudden your VA technician on the other end was in Pittsburgh instead of Seattle. Or Atlanta. S/he could not give you real-time information on your claim progress.

My CMA also avers that we are not allowed to view our own claims files. Aruuuu? Just for shits and grins, I filed a VAF 21-22a to represent myself and three weeks later I can see my 14,000+ page Gutenberg Bible cum claims file in all its shining splendor on VBMS. I do know that VA employees and VSOs certainly aren’t permitted to but we agents/attorneys respect no such constrictions on our access. We get Level 6 with printing capabilities which is higher than my CMA’s. That bugs her.

I love to wander around in there and see where the roadblocks are. But back to the VBMS lesson. Check this out. To begin with, you have to get a card reader for your brand new VA ID card. These PIV (Personal Identification Verification)cards are a Godsend too. I no longer have to take off my belt and shoes and empty my pockets for the metal detector. Since I’ve now been criminally background checked, my Government photo ID permits me entry with just a wave of the card-at any government building. Cool beans.

You begin this Odyssey by going to the Citrix VA Gateway at  https://citrixaccess.va.gov/vpn/index_citrix_splash.html and come out here.

You then insert your smart card mentioned above into the SCR 3310 card reader and it asks for your six-digit PIV code. Hey, half of this rigmarole is remembering what all those acronyms stand for. VA pukes live for this. I found out DRO is a word-not a D-R-O. I wonder if that makes a CMA a See-má or a RVSR a Riv-sir. I’m sure there’s a method to this language. Onward. After being waved through, we then enter the Citrix library of endless confirmations

 

 

Click OK and the below opens

This is the first PIV Card entry point.

The next step after you gain entry to Citrix is to choose the Citrix VBMS entry gate:

You click on  the desktop…

and choose the RO5 VBApp:

If you’re lucky and haven’t screwed up on your typing yet, you’re only into this about 3 minutes. And then… Bingo, you’re in the foyer.

Now you begin to segue into the outer hallways of VBMS. It’s now time to promise (again) not to divulge all the deep dark secrets you’re about to gain access to.

 

 

Having promised, you wait for another PIV card check:

Hum a few bars of Jeopardy music and bingo…

Click on your smart card symbol and voilà… another PIV card confirmation code

Here you get to memorize how to spell welcome for a minute or two.

After a while you move to a minute or two of this one. Apparently, they have a booth bitch who checks everyone in manually. For the next minute or three they will confirm you are allowed to do certain things and determine which level of entry you possess, whether you have permission to print, etc. etc.

Finally, you go through the last metal detectors and are deemed permitted to enter.

And now, the last magic button that opens VBMS. Misty 21 is cleared in hot, bubba.

You click on start and it opens the VBMS window

then click VBMS and it opens to the second level entry…

And then another click on VBMS #2:

And last but not least, the actual VBMS claims file queue

You’re finally in… sort of. But wait. Just one more profession of honesty and a guarantee not to share it with your Russian handler.

On this screen you enter in your 3-digit VBA regional office number and hit okay. Seattle is 346.

IMG_0649.JPG

One last check to make sure you is you:

You’re found and you click okay.

Now, if you somehow arrived here after the above 25 steps, and the VBMS is not feeling well or the servers have a hangover, you get this

Yeppers. You claims queue is a dry hole. You can wait patiently for 15 minutes in hopes it will populate. If it doesn’t, you time out and it’s back to the beginning at Citrix again. On the other hand, if you have Jesus in your heart and are pure as the driven snow, a miracle happens. It populates and you actually get to see your client’s files. Elapsed time? about 12 minutes on a good day. I go in after 1500 hrs (left coast time). By then all the Fort Fumbles back east have gone home for supper. It really starts humming to about dial up speed then.

If it won’t populate, you can go to the top and hit search and look each of your clients up manually by entering their claims file number or SSN. You can find your clients in the claims queue and jump back and forth between them with multiple tabs open. The left side looks like this on an individual file.

We representatives always cry when we get a claims file from St. Louis. It looks like someone played 52-card pick up with it. Stuff from 1968 is right next to something that was inserted last month. There is no rhyme or reason to how it could be assembled helter skelter. But look above at VA’s nice, tidy file. Everything is chronologically arranged with subject and date. You can find a SOC from 2013 right after the denial and the Confirmed rating sheet. This is where VBMS is a Godsend. You can find things you are not supposed to-such as §3.156(c) Service treatment records introduced last week for the first time.

The claims queue can be changed to show the most recent activity first by clicking on the last changed date arrow several times.

By going up to the top right near your name, you’ll find the Veteran’s profile widget. Clicking it divulges a wealth of info about your client and you can check the profile for flashes to keep VA honest. If your Vet is dying, you’ll be wanting to flash him for terminally ill. Or homeless. Or financially in jeopardy. Or whatever it is that deserves an advance on the docket. Look in the “Go to work” column on the claims profile. I find my DRO hearing transcripts hidden in there all the time. Always look in the raters’ Notes section to see if it’s ready for decision.

And a lot more. I have only begun to reveal the mysteries of the VBSM here today. And speaking of widgets, here’s Cooper and Widget this morning at breakfast. It’s amazing how much you can cram into that tiny skull and it still only works as well as the 1480 lb. horse’s brain next to him. God works in strange ways and colors.

And that’s all I’m gonna say about that.

The Fourth Caravan

Posted in VA Agents, VA Attorneys, vA news, VBMS Tricks, Veterans Law | Tagged , , , , , , , , , , , , , , , , | 6 Comments

THE HALLOWEEN POST-GAME WRAP

Pop Smoke

As most  know, my April Fool’s gene always comes out around Halloween. To say I’m addicted to humor is a masterpiece of understatement. This is a product of being told I’m going to die. Well, duh. The only problem with that diagnosis is that it’s been delayed a few years. I did read somewhere this week that people who embrace humor live longer. I owe all these latest cartoons to Dennis Stenftenagel, a fellow Hepatitis C survivor of our unofficial group HCVets. Enjoy.

 

To all my readership, I wish you a happy Halloween and a Happy Veterans Day.

Posted in Humor, KP Veterans | Tagged , , , , , , , , , , , , , | 2 Comments

Time to smile for Halloween DoD-style in California, Virginia and Georgia

” Navy Petty Officer 3rd Class Cassandra Liriano hands out candy during a “trunk-or-treat” event hosted by the First Class Petty Officer Association and the Second Class Petty Officer Association in San Diego, Oct. 20, 2018.” Image: DoD

“A volunteer hands out candy to trick-or-treaters during the eighth annual Trunk or Treat at Travis Air Force Base, Calif., Oct. 26, 2018.” Thousands attend! Image: DoD.

A military child gets his face painted during 2nd Battalion, 69th Armored Regiment’s “Tank or Treat” Halloween event in the battalion motor pool, Oct. 30, at Fort Stewart, Ga. Soldiers brought their families and children to “trick-or-treat” at decorated tanks, ride horses and paint pumpkins.

“Navy Petty Officer 2nd Class Courtney Goodman paints the face of a trick-or-treater during the First Class Petty Officers Association’s annual Harvest Fest in Portsmouth, Va., Oct. 19, 2018.” Images: DoD

Making happy memories for good kids–nice!

Kiedove (Guest author)

 

Posted in Food for the soul, Food for thought, Future Veterans, General Messages, Guest authors, Humor, Uncategorized | Tagged | 1 Comment

BROWNWATER RAMBO AND PEPÉ LE PEW

Everyone would like to think they have the mustard to contend with any catastrophe in, on and/or around their haciendas. That’s probably why you see so many of them folks after a hurricane standing on their roofs waving a white flag whist clutching a bottle of Jack Daniels™.  Saturday is humor day. Listen to the story ’bout a Vet named Jim, a rich electrician who loved to go fishin’.  

At the ripe age of 67 7/8, when the shit hits the fan, I now call in an air strike. There was a time when I was adventurous but with an onboard defibrillator and a few other 100% disabilities, Echo 6 actual no longer feels quite as bulletproof. I can still whack a coyote at 2 AM in the bottom pasture from my back deck in my skivvies but that’s about as adventurous as I get nowadays.

Brownwater Jim lived two doors over from us way back when.  The fact is we were well-known by our local constabulary and our neighbors back in the 90s. It seems there was a mobile home down range of my house we rained some bird shot down on inadvertently during a New Year’s party one year. My hunting buddy, Deputy Bob Larson, whose house I had built, dropped by a third time and told us to put the 12 ga. away or he was going to take it. Without admitting guilt, we promised we’d find the culprit and make him cease and desist if we heard him do it again. Problem solved. Jez, I can imagine a SWAT team out there in this day and age.

One late spring morning in 1995, the Jimster theorized he had a large, smelly cat under his house. They’d heard it banging around down below the night before. I’m not sure if he ID’d it on the aroma or a confirmed sighting inside the wire. Apparently, a screen in a foundation vent had parted company allowing entry. After reconnoitering the crawlspace from several other vents, he determined it was a skunk.  Here in the Northwest, we generally have an 18″ deep crawlspace with plumbing and ducting below the joists. Jimbo’s crawler was about 30′ by 40′.  Now, if’n you’re gonna go skunk-fishing, you need good lighting. Jim, the consummate fisherman, armored up with his Navy®-approved 12 VDC Tactical  aircraft landing light rated at 2.1 million candlepower. This is like a four-deuce battery of acrylic white flares going off on a moonless night. You almost need sunglasses even if you’re holding it. It requires a 12 Volt car battery and will suck it dry in about 3 minutes unless your engine is running. It also works well for deer hunting on the way home after dark.

Not knowing how well-armed the skunk was,  Brownwater Jimbo decided on his Glock 19 in 9mm.  Anticipating a charge if it was rabid, he took an extra clip.  Full well knowing he might be fighting in close quarters, he wisely chose his trusty Ka-Bar for backup. His entry into the crawler was through the floor access in the master bedroom closet – a  22″X 24″ hole. It’s a 360° blind entry until you’re in and down flat. Depending on which version of the story you’ve heard, he went in hot—- feet first with the knife between his teeth, the Glock in the right dominant cocked and locked and the light in his left. Sadly, this was before phone cameras. A thousand words can never suffice to paint this picture.

Mr. Skunk was setting up shop about 20 feet away in a big pile of underfloor insulation  requisitioned from overhead. Jim said they stared at each other for a few seconds before he realized the light had him paralyzed. Carefully lining up, he made sure there was no plumbing behind Pepé. Jim, of all people, is well-acquainted with the acoustical properties of supersonic bullets so I’m not sure why he went in with no hearing protection. I’m equally sure he wonders himself to this day. As most know, shooting 9mm, .357 mag, .40 S&W and .44 mag (or 5.56mm and 7.62x39mm) inside or in extremely close quarters is an OSHA violation as well as conducive to extreme permanent hearing loss.

Jim pulled his first shot and winged Mr. le Pew and that was all she wrote. Pepé cut loose before the kill shot a second later. A quick retreat was notably unsuccessful in trapping the smell below. In spite of sealing the carpeted lid with duct tape, the aroma continued wafting up through every nook and cranny elsewhere. His son was on the verge of departing for school and picked up a sizable amount of the smell as well. By this time, you’d never know if you were hosed or not anyway. The smell even made it down to my place. By this time the neighbors were congregating out front to see if there was any good gossip afoot.  Twenty minutes later, when Jimbo’s son arrived, the school sent him home. His car was equally hosed by now, too.

What to do? Call the Fire Department. They arrived but did nothing more than commiserate it was an unfortunate situation. At this point, Jim finally did what I would have done from the get go- call in the airstrike. It was an expensive repair order but the smell gradually returned to normal. We still give him shit about missing from 20 feet. I can almost guarantee someone’s gonna drag that story out at his Eulogy. That’s good. Folks should always remember the good times of their friends’ lives at their wake. I wonder what they’ll talk about at mine? Deerhunting with my Dodge “.30-06” 1 ton van?

And that’s all I’m going to say about that… until the wake.

 

Posted in Humor, VA Agents | Tagged , , , , , , , , , , , , , | 1 Comment

Interferon, HCV and Parkinson’s Disease research

Two years ago, I was given an abstract for this study: 

Parkinsonism in Patients With Chronic Hepatitis C Treated With Interferons: Case Reports and Review of the Literature

Wangensteen, Kirk J. MD, PhD*; Krawitt, Edward L. MD; Hamill, Robert W. MDBoydJames T. MD

Clinical Neuropharmacology: January/February 2016 – Volume 39 – Issue 1 – p 1–5

The full text is not free to read but librarians can get a copy for you.  Veterans’ representatives like Alex can probably obtain a copy for their veterans’ health topics files by emailing Dr. Boyd (UVMMC-VT).

This work has not received enough attention in the form of citations and shares (LINK) but in general we now know that not only does HCV injure the central nervous system (CNS-brain and spinal cord), but the interferons to kill the viral devils cause damage too.

So, if a Marine served in Vietnam (eating Agent Orange), and was infected with HCV (non-A-non-B) in any myriad number of routes, and drank Camp Lejeune’s toxic water, and was later treated for a year with interferons, PD and it’s closely related conditions, are not something that some physicians link together–because they don’t know.  Just one exposure is enough to cause PD, but in the case I list above, you have a powerful triple whammy + 1 (the cure) hit.  Additional toxic exposures are also likely.

I’ve never seen a new patient intake form ask about military service in the non-VA world.  (Have you?) Problem lists can be a mess but verified service in Vietnam should be noted on them as a separate line!  (I say verified because people like Sen. Richard Blumenthal might lie on forms about their military service.)

Resource`

https://journals.lww.com/clinicalneuropharm/Abstract/2016/01000/Parkinsonism_in_Patients_With_Chronic_Hepatitis_C.1.aspx 

Interferons are a set of cytokines that activate antiviral responses by the body’s immune cells and have been a mainstay of treatment of hepatitis C. Well-known neuropsychiatric effects of interferons include depression, irritability, and impaired concentration. A condition reported rarely in association with this treatment is parkinsonism.

We report 2 patients who developed parkinsonism in conjunction with treatment of hepatitis C with alpha interferons. The first is a 51-year-old man who developed intermittent rest and postural tremor during treatment with pegylated interferon alpha ribavirin, and amantadine, with resolution of the symptoms after completing a 36-week course. Similar tremor recurred 3 years later with progressive parkinsonism, compatible with Parkinson disease (PD).

The second patient is a 71-year-old man who developed postural tremor 8 weeks into a regimen of consensus interferon. Tremor resolved at completion of 48 weeks of interferon. Pegylated interferon alpha and ribavirin were started 2 years later because of lack of sustained virologic response. At 24 weeks of treatment, postural tremor returned along with features and a progressive course compatible with PD.

Thus, both patients presented here developed (rest and/or postural) tremor during interferontherapy followed by delayed onset of parkinsonism. We identified 10 other cases in the literature of parkinsonism/PD associated with interferon administration. This report reviews the clinical presentation and potential pathophysiological mechanisms and recommends that physicians who prescribe interferon be vigilant for symptoms of PD in their patients.

Toxins and more toxins

Gulf War vets are getting cancers.  I’ve met one who had a tumor removed from his neck.  He’s able to work as a policeman but he’s worried about his future.  My son recently met a young former airman from CT in the waiting area at WRJ-VT VA hospital.  He served in the Gulf.  He had an unusual cancer from toxic exposures and is 100% disabled.  An aside: This vet’s free ride service had stranded him there because he was late getting out of his appointment.  He sobbed.  My son told him that he couldn’t drive him to CT that night but he wished he could.  Then the VA arranged to put him up in a hotel overnight.

Serum metals tests?

Global metal mining pollution is terrible.  We recycle every bit of aluminum we use.  In MN we sold odd bits of metal to scrap yards so it could be reused.  The Chinese export their cheap aluminum in their products and they don’t care about the health of their workers. We shouldn’t buy cheap things made with Chinese metals if possible.  Buying things made of recycled aluminum is controversial (Treehugger article link) because the demand for virgin aluminum is goes up.  I still strongly support recycling metals, keeping batteries out of landfills, and anything that will reduce toxic chemicals exposures.  As for routine serum metals tests, some powerful groups don’t want us to know what’s swirling around inside.  Expect to pay out-of-pocket.

Kiedove  (Guest Author)

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Add: in-service toxic exposures Click image to see Atlantic photo essay on nasty Hungarian aluminum toxic spill

Posted in All about Veterans, AO, Camp Lejeune poisoning, Food for thought, Future Veterans, General Messages, Guest authors, Gulf War Issues, HCV Health, HCV Risks (documented), Interferon claims, non-va care, research, Uncategorized, VA Agents, Vietnam Disease Issues | Tagged , , , | 12 Comments

DNA AND CHASING THE CUE RAINBOW

I had my DNA tested by Twentyfourgalore.com ® to see whazzup. Nope. No Down syndrome. I realize some of you have had your doubts over the decades. I also figured I might like to know if I had a smattering of Native American ancestry. As #meapache is now the rage and all in vogue, I was hoping I could use that soon on the 2020 census. It seems “entitled white man” is not the box you want to be checking these days. Goodness. What singular event in history would cause an entire race of males to fall from grace and become pariahs in less than a generation? History is fickle. 

“possible” ancestor

What did turn up and is most of interest is that I definitely have Veteran ancestry in my blood. The DNA was incontrovertible and showed my father definitely was one. Moreover, on my mother’s side there was a 1/4096th chance I was descended from Veterans. Ahh. The modern miracles of science. But I digress…

I don’t like CUE. Motions to Revise are revulsive. The burden of showing reasonable minds can only concur on the error(s) is a very high bar to success. For that reason alone, many of the VA law dogs I rub shoulders with will take a bye on any Vet’s offer of untold riches just waiting to be had at their fingertips. Except me. I’m still a sucker. I have had several chicken dinner winners for R1 and R2 so I’m still a sucker for this kind of entertainment. And just for you who think this is as easy as learning how to ride a tricycle, there isn’t a lot of money in SMC. Most folks you win it for only get it back about six months or so.

not at least as likely as not an ancestor.

Gina (name changed to protect me) came to me from my old home town area in Virginia. She suffers from MS and it’s not very forgiving. Throw in some teenagers and you have your hands full-or at least the one hand that still works (sort of). It’s a long story but the interesting part is what you’ll read here. I don’t try to catastrophize a Veteran’s predicament. I attempt to let the doctors’ opinions do that. And boy howdy did one of them VA doctors with diarrhea of the mouth open up his piehole and step in it. The problem was that VA didn’t “infer” SMC K from his diagnosis. Inferring things costs VA money. You don’t get a bonus at Christmas if you stuff the suggestion box with better ways to improve the art of claims inference.

This case is also illustrative of how VA will change the argument from oranges to orangutans without missing a beat. Entitlement to SMC is due and owing when the medical evidence supports it. If you see an error in the date entitlement arose, VA is obligated to “rerate” it. They generally CUE themselves with a sanctimonious mea culpa and quickly move on. Or not.

In Gina’s case here,  the RVSR has decided to don his  Lt. Colonel (Brevet Maj. General ) George Armstrong Custer uniform and ride into Medicine Creek Coulee. One thing is for shore. This is going up to the BVA and maybe even to a panel at the Court. Reading Breniser concisely, this is the only result you can get. I’m sure it isn’t the absurd result you’d expect but such are the vagaries of justice. It’s definitely a matter of first impression.

I begin where Gina left off in 2017. Oh, did I mention Gina is an attorney? Even she couldn’t make them see what was right in front of them. Because VA is wont to screw you, they inadvertently refused to give her loss of use for a lower extremity. When they finally did, it was to cover up the error of not doing so sooner. Unfortunately, when you conduct business this way, you leave indelible footprints in the VBMS concrete. We no longer live in the wild west days where VA could simply deny a Vet and give no reason whatsoever other than “We’re sorry but we are unable to grant your claim.” What’s damning is that when she complained, they gave her the loss of use of the lower and upper extremities and never said why. When’s the last time you heard of VA handing out  an SMC L with no explanation of the rationale for it?

Non-PC, lowbrow, entitled white male humor revealing author’s disturbed misogynistic thinking.

Here’s my filing in July to fashion a fix.

F extra pages for 526

Here’s the VA garbled response. Whoever cranked it out is using an older, outdated version of M 21. You certainly cannot open a CUE claim with new and material evidence.

F Narrative 10-12-18 Redacted

And lastly, the NOD response. At this stage, I realize I’m dealing with mental midgets so I have wisely asked them to perform the necessary steps to appeal it to the BVA. Nothing makes a VARO happier than to 86 an appeal to DC. It’s one less item they have to deal with.

cont. of CUE NOD R1

Finding CUE is easy. Proving it to VA is the ultimate obstacle. I discovered the M 21 has no provisions for awarding both the 50% as well as the 100% bumps simultaneously found under 38 CFR §3.350(f)(3) and (f)(4). It will not let you input them both and even has a nasty admonition not to even consider it. How do you prove the earth is round to these Flat Earth Society folks? They are forced to follow the computer prompts from the M 21 gods. You can’t win these at the local yokel level- but fortunately for us, the Court exists to root out these arbitrary and capricious activities.

I’ll keep you posted on the insanity.

Posted in CUE, Inferred claims, KP Veterans, Tips and Tricks, VA Agents, VA Motions for Reconsideration | Tagged , , , , , , , , , , , , , , , , , , | 7 Comments

EVERYTHING YOU EVER WANTED TO KNOW ABOUT A BVA REFERRAL

I get emails by the dozens every month asking me about this. Some Veterans get their decisions back from the BVA directly and the VSOs never even see it. Maybe that’s just as well. If you won anything, they’d be all over you like white on rice for a photo op. Trophy Walls they have. Yessssssssssss. And bars right next to them. So what, exactly, is a judicial referral from your Board of Veterans Appeals Judge. While it sounds vaguely similar to a remand, it’s a far different animal. Personally, I doubt a VSO representative could differentiate between the two terms so I will do so.

re·fer·ral    

rəˈfərəl  (noun)

Legal definition:  The relinquishment of legal authority to decide a claim;

the act of sending an appealed claim back down to the original adjudicator to decide in the first instance;

lacking legal authority to decide the appeal due to an incomplete or legally insufficient adjudication by an inferior court or agency below.

The Pontius Pilate cleansing of the hands ceremony (humourous definition)

Sometimes, and unfortunately/appallingly more so in VA jurisprudence, Veterans find their duly certified appeals to the BVA are deficient. Shocked. I am shocked, I say. A Veterans Law Judge (VLJ) or his/her staff attorneys, when perusing your appeal for legal sufficiency, often find an error of law or a claim bundled up with others which was never adjudicated in its own right. You can hear Gomer Pyle’s ghost saying Surprise! Surprise! Surprise! if you’re my age.

Moody v. Principi  teaches us that a claim or claims must be sympathetically developed and any inferred or informal claims arising from it are addressed up or down.

VA has a duty to fully and sympathetically develop the Veteran’s claim to its optimum, which includes determining all potential claims raised by the evidence and applying all relevant laws and regulations. See Harris v. Shinseki, 704 F.3d 946, 948-49 (Fed. Cir. 2013); Szemraj v. Principi, 357 F.3d 1370, 1373 (Fed. Cir. 2004); Moody v. Principi, 360 F.3d 1306, 1310 (Fed. Cir. 2004); Roberson v. Principi, 251 F.3d 1378 (Fed. Cir. 2001).

This must be done by the Agency of Original Jurisdiction (AOJ)- i.e. your local Puzzle Palace. In the event this doesn’t occur, and assuming the Veteran files an appeal for the denial of all, or even part of other claims  filed at the same time, the VLJ is required to refer it back to the AOJ to be decided first before s/he can finally decide it on appeal.

A classic example. You file for Hepatitis C, Diabetes Mellitus II, and loss of use of the lower extremities. Your Veterans Service Center denies you for all of them.  You file your VAF 21-0958 and substantively appeal all three issues. But. You insert something in the NOD you never claimed in your original claim contention list such as flat feet.  VA denies anew, issues the SOC but neglects to address your board feet in clear English such that you could understand you’d been denied. You then file a VA 9 and again say “Quo pedes vadis?” VA proceeds to issue the VA 8 while ignoring the foot issue yet again and it eventually arrives at the BVA. An astute law clerk would discern the AOJ had neglected to decide the pes planus claim  in the original decision. The VLJ will proceed to rule on any “ripe” appeals but refer the flat footedness back to the AOJ to be developed and decided first.

A BVA referral absolves ownership of the claim by the VLJ. A remand does not. A remand is different inasmuch as the VLJ assumes “ownership” of  your appeal and holds onto it like a doggie with a bone. S/he remands it back to the AOJ  only to correct a deficiency in their handling of it.  Once the AOJ “corrects” the error and grants or redenies it with an SSOC, it is sent back up to the VLJ to be readjudicated. Sometimes, your Fort Fumble folks disremember to issue an amended SOC on a newer claim. The BVA remand merely gives the AOJ an opportunity to fix it by issuing one. Once the AOJ performs the remand request, the VLJ reasserts legal ownership of it onward to its normal conclusion ( grant or denial).

A claim that is inferred, implied or informally presented, vocalized at a hearing and never addressed is fair game for a referral. A VLJ, by law, is not allowed to decide an appeal until it has been decided below. You would be stunned to know how many Veterans get referrals. S/he’s (the VLJ) is smart enough to discern the error. They take great pleasure in telling VAROs how dumb they are. You will see ‘stupid’ rephrased in excruciatingly polite English by the VLJ. I think they teach that in Law School.

I am co-counsel presently on a 1992 remand where a Veteran’s appeal was remanded back to the AOJ for a SOC on his claim for seizures. The Green River Memorial RO here in Seattle treated it as a referral instead of a remand and readjudicated it by simply re-denying it. Granted, they did issue the SOC but nothing else-not even a mailing saying so. About six months later, when the Vet asked what the status was, the VA baldly stated that the statute of limitations had run out 60 days after they issued the SOC on it. Old Orville had missed the boat for a new VA 9. His VSO (Vietnam Veterans of America) apologized and allowed as he’d let it get by him because he didn’t see it as a remand-but rather a referral!. I doubt he could discern the difference legally. Orville gamely pursued it pro se for twenty years but never got any traction on it until he approached me. The proper procedure in this case was to issue the SOC and send it back to the VLJ for an up or down decision on appeal. This they neglected to do… in 1992. Equitable tolling applies.

When the VA fails to return  the remanded claim to the BVA, the claim goes into the deep freeze and awaits a readjudication when the error is discovered-if ever. When (and if) it is discovered, the BVA will grant equitable tolling and begin where they left off. How many of you would understand that intricacy of VA law? Few, I suspect. Most would trust our Alma Mater and the Presumption of Regularity (P of R) would apply. The P of R posits that the VA is always knowledgeable and never makes mistakes. What appears regular is regular and the onus of disproving that falls on the accuser (you). So we accused them of schlepping Orville’s remand.  The RO denied and it went up to the BVA. It’s due soon for a decision.

A referral, on the other hand, returns your incomplete claim to your Regional Office (AOJ) much like a remand. The similarity ends there. The DRO promptly reviews it and usually issues a denial. They mail you out the Dear John Vet letter and tell you you have the right to file a NOD and the regular process for this contention begins all over at that point.

A referral is only used for an incomplete, unadjudicated claim

A remand is a tool to repair a legally, proceduraly insufficient appeal. 

Often, a pro se Vet unfamiliar with the process (or an ignorant VSO) will add contentions into a NOD or VA 9 substantive appeal that were not raised when the claim was filed. Let’s say you’d filed for the DM II as I mentioned above. When the VSO is helping you (and I use that adverb very loosely) file your NOD, you might say “Oh yeah. I forgot. I have tingling and numbness in my hands and feet.” If you file a contention on it in the 958 but you never filed it in the beginning, it’s technically a new claim. Here’s where Moody fits in. VA should know, and they do, that if you have peripheral neuropathy and you’ve already been diagnosed with DM II, odds are the DM II is the culprit. That’s an inferred claim-as would be diabetic neuropathy (going blind). They should , by law, adjudicate this or address/develop it. They rarely do. In the case described above, you’d normally file a VAF 526b and ask for it to be rolled up into the current appeal. The DRO has the authority to do this but they’ll invariably lie and say they can’t. Shoot, folks. They’re lazy. If they decline, I say something like “Shit, Bubba. Don’t you honkys know you have the authority to do this? Look it up in your M 21 comic books” and then cite to the Standard Operating Procedures in the Segmented Lanes Model of Adjudication under M-21-1 1.3a (change date 7/14/2015). Actually, I’ve never called a DRO Bubba yet so I don’t advise that approach. I do guarantee it will roll their socks down, however. You will have their undivided attention in short order. Nobody likes to get called out for lying. That’s what the big dust up was over the Supreme Court nomination the last couple of weeks. The Presumption of Regularity also posits that VA DROs can never lie. I let them off with informing them they might have overlooked the M 21 change because they are waaaaaay behind in updating it. My technique is to remind them how to do their jobs-albeit politely. Giving them the M 21 legal authority has to be done subtly.

If you added these in after the original filing of the latest 526EZ, and the staff lawyer picks up on it on appeal to the Board, they have to refer it back to the AOJ to have it addressed as a properly raised claim that has been ignored or forgotten. Not only do they have to but they will. This is another reason appeals take so long. You’re dealing with professionals for the most part and they generally aren’t sloppy. I’ve jokingly referred to this in my book as the “coat and tie” stage. A VLJ has a Juris doctorate. The staff attorney has a juris doctorate. They know law (sort of). That’s a far sight better than the yayhoos at your local VA who have 200 hours in on M 21-1 instruction and compliance, 150 on Human Resources Management, 100 on memorizing all the acronyms like WARMS, CAPRI, CEST, EP, BIRLS, VACOLS, SOJ, VBMS ad nauseum and 0 hours studying 38 USC, 38 CFR and Black’s Law.

If the local yokels were doing their jobs properly, there would be no need for referrals-or remands for that matter. The words would be superfluous; they wouldn’t be needed in the legal lexicon. Perhaps in a more perfect world but not our nonadversarial, Veteran friendly, paternalistic ex parte system. No sireee, Bob.

The teaching moment here is to make sure you tack on that M 21 ditty to any 526b you file for your clients after the claim is in the chute. Here’s a recent example of a referral from a BVA Judge to adjudicate some other issues like SMC L for Aid and Attendance and SMC R1 which were implicitly denied when the LOU of the lower extremities was denied. I contend they implicitly denied us and never certified it. I did call his DRO and she agreed to pick that up when she writes the decision next Tuesday the 9th. Cool beans.

BVA redacted w- hi lite

 

 

Today’s lesson has been brought to you by the Letter R.

 

Posted in BvA Decisions, BVA Referrals, DM II, Equitable tolling, Humor, KP Veterans, M-21 info, Presumption of Regularity, Tips and Tricks, VA Agents, VA suspense dates, Waiver of Review in the First Instance | Tagged , , , , , , , , , , , , | 2 Comments

Grand Opening: National Veterans Memorial and Museum in Ohio

screenshot-2018-09-26-at-11-55-24-am.png

Screenshot of NVMM website

Perhaps this is an opportunity.  I’m not ready to give up the jetgun the Grahams gifted me to loan to a museum because I have plans to show it to influencers when I’m truly well and ready.  It is museum-quality and part of our visual culture.  

An exhibit about blood-borne disease epidemics (and deaths) among veterans should be developed with the jetgun (jet injector) a part of it.  Agent Orange (AO) is a likely covered health topic.

 

October 27, 2018 in Columbus, Ohio

“With nearly 21 million living veterans throughout the United States, from our Greatest Generation to our recent heroes coming home from Afghanistan and Iraq, the time for America to remember and to honor its veterans is now.

The National Veterans Memorial and Museum (NVMM) is neither a war memorial nor a military branch of
service museum. NVMM will take visitors on a narrative journey telling individual stories and shared
experiences of veterans throughout history. It will pay tribute to the sacrifices of servicemen and women and
their families. 

This project was originally going to be an Ohio Veteran Memorial and Museum but is now going to cover the nation.  The VA has NO control over this project and if we were actually able to install a permanent jet injector/jet gun exhibit, VA could do little to stop it unless they paid the NVMM to refuse it by giving a big donation.  That would scream “BRIBE!”

 

“General Colin Powell (U.S. Army, Retired) will deliver the keynote address. The public is encouraged to attend the dedication to celebrate the opening of this historic institution.”  To receive up to four free tickets, RSVP https://www.nationalvmm.org/grandopening/

The photos on the museum website can’t be used without permission so you can check out their gallery.  https://www.nationalvmm.org/

The Gold Star family–2 minute video.

If you think  jet injectors and other unintended medical mistakes should be part of this museum’s educational content, let us know which are the most significant.

Amerasian children left in Asian countries are also an important story.  Some of these adult children are seeking and finding their American veterans biological fathers with DNA and genealogy searches.

If anyone near Columbus can visit the museum, give us your review!

Kiedove (guest author)

Posted in All about Veterans, Food for the soul, Food for thought, Future Veterans, General Messages, Guest authors, Inspirational Veterans, Uncategorized | Tagged , , | Leave a comment